A member asked:

My systolic bp reading is always normal but my diastolic is high. what does that mean? my most recent reading was 114/99. previously on labetalol for gestational htn but doctor wanted to stop it?

3 doctors weighed in across 2 answers
Dr. Clarence Grim answered

Specializes in Endocrinology

Automatic devices are most likely to read the diastolic pressure wrong. I tell my patients to ignore the diastolic as long as systolic is 120 or less. The systolic a key predictor of how long you will live and what % of your life you will suffer the consequences of the complications of HBP: stroke, MI, kidney failure. Take your device into your office and have it validated as accurate.

Answered 5/21/2021

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Young people with hypertension have more diastolic involvement than older patients as their arterioles are much more elastic. I favor lifestyle changes like salt,alcohol,caffeine avoidance,ideal weight,regular exercise,stress reduction and,if diastolic BP exceeds 85, resumption of labetalol which is a good beta dilator that doesn't lower heart rate or produce fatigue which is important for you.

Answered 5/22/2021

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What kind of doctor sees somebody for gestational hypertension?

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